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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME� �//Page 1 <br /> 600 E MAIN STREET <br /> STO! ON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE FEB p y 2008 AccountlD AR0003549 <br /> is���E St Facility ID FA 00039-4 <br /> LANNING �� <br /> Date Printed 1/28/2008 <br /> ORCHARD SUPPLY HARDWARE RE : ORCHARD SUPPLY HARDWARE#1570 <br /> <br /> TRACY, CA 95376 <br /> OWNER : ORCHARD SUPPLY HARDWARE CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170903---Date of Invoice: 1/25/2008 IIIIIIIIIII(IIIIII VIIILII VIII VIII VIIIIIIIIIII VIIIIII IIIIII 11111 1111 IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 495.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 732.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period <br /> PAYMENT <br /> RECEIVED <br /> y 7 MAR — 3 2008 <br /> 1rt-,u0� <br /> c;h eir SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> I <br /> "'i;;t Date / �� <br /> HEALTH DEPARTMENT <br /> jIIII`llrul Ac--t9, �� 70 L./ <br /> STORE#: 300(2 <br /> 76000 732 .ox <br /> Aoo® iv'r •, � <br /> ---'AL�LNY.GER SIGSIGNA THOMAS LACAP <br /> TRATE 2 . t('aG <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254 rpt <br />